Environmental Health & Safety
Supporting the campus community by proactively protecting people, property and the environment in a responsible and cost effective manner.

Chemical Waste Collection

Section 1

Chemical Waste Collection Request

Complete this form to request pickup of chemical waste. In mosts cases requests submitted will be collected within 3 work days.

  1. Complete all Waste Generator Information fields below.
  2. Print a copy for your records.
  3. Click the "Next" button to submit.
  4. LABELS:  A second page will appear with a button to your Hazardous Waste Label. This label can serve as the container label, and should be printed and attached to the container prior to pick-up. There is also a button to request additional pickups.

 

Waste Generator Information

*required fields

*Your Name: (first) (last)

*Phone:

*Principal Investigator: (first) (last)

*Department:

*Building:

*Room:

*KFS Account:

 

Item Information:

* Constituent
(Use complete names ONLY. No formulas, abbreviations)
(For "trace" enter the concentration.)
Total of Percentages of Constituents must equal 100% .

*Percentage
(For "trace", please enter 0)
(Do not use a % symbol)
1.
%
2.
%
3.
%
4.
%
5.
%
6.
%
7.
%
8.
%
9.
%
10.
%
Total
   

 

   * Physical State:

   * Number of Containers:

   * Weight/volume per container:

   * Units:

   * Major Hazard:

    Flammable

    Explosive

    Toxic

    Air/Water Reactive

    Oxidizer

    Corrosive

   Second Hazard: (optional)

    Flammable

    Explosive

    Toxic

    Air/Water Reactive

    Oxidizer

    Corrosive

   Additional Information: